【作者】 范波； 卞永生； 黄晓辉； 李荣；

【Author】 FAN Bo,BIAN Yongsheng,HUANG Xiaohui, et al.Department of General Surgery,The First Hospital of Baoding City,Hebei,Baoding 071000

【机构】 河北省保定市第一医院普外科； 解放军总医院普外科；

【摘要】 目的探讨40岁以下青年人胃癌患者的临床病理特点。方法对我院238例40岁以下胃癌患者的临床资料进行回顾性分析。结果本组病例占同期胃癌患者的7.5%。组织学分类以低分化及印戒细胞癌多见,大体分型以BorrmannⅢ型(18.0%)和Ⅳ型(52.9%)多见,71.0%患者TNM分期为Ⅲ或Ⅳ期。多因素分析表明,TNM分期及手术根治度是影响预后的主要因素。结论对40岁以下胃癌患者早期诊断和进行根治性切除术非常重要。更多还原

【Abstract】 Objective To investigate the clinico pathological characteristics of gastric carcinoma in young people below 40 years of age.Methods The clinical data of 238 young patients with gastric carcinoma below 40 years of age,hospitalized in our hospital were retrospectively analyzed.Results These cases accounted for 7.5%of all gastric cancer patients during the same period.There were more cases with poorly differentiated(46.2%) and muco cellular(31.5%)adenocarcinoma histologically.The most common gross type was Borrmann typeⅢ(18.0%)and typeⅣ(52.9%).The majority of patients(71.0%)were in TNM stageⅢand stageⅣ.Multivariate analysis showed that the pathological stages of tumor and whether radical correction was performed were the important influent factors on patients’ prognosis.Conclusion For the patients with gastric carcinoma below 40 years of age,early diagnosis and application of radical correction are most important.更多还原